How Common Are Bioidentical Hormones
The use of the compounded type is very common in the U.S. in women in menopause. The North American Menopause Society reports that about 1.4 million women are using this treatment. NAMS notes that that is 40% of all prescriptions for hormone therapy in women who are in menopause. The number of men using this treatment is not noted.
What Are Hormone Pellet Insertions
When it comes to bio-identical hormone replacement therapy pellets, Ren Progressive Medicine has recently joined with the BioTE® method of pellet therapy. Using the subcutaneous pellet approach to BHRT to replace the hormones men and women lose as they age, some patients report feeling symptom relief in as little as four weeks, but complete symptom relief may take up to six months. Certified BioTE providers customize each dose of pellet therapy to the patients needs and third-party testing maintains strict quality standards of sterility and potency to maximize safety and dosing accuracy.
BioTE method of pellet therapy has helped thousands of people feel their best and achieve hormonal balance. Ren practitioners use BioTE method and bio-identical hormone pellets which contain bio-identical testosterone or estrogen. The pellets are placed subcutaneously in the body and release a continuous stream of bio-identical hormones. The pellets gradually dissolve and are absorbed into circulation. Collectively, BioTE practitioners have performed over 2 million pellet insertions since developing their proprietary method. Your practitioner at Ren is BioTE certified to customize each dose based on extensive lab work and standardized dosing methods.
Who Should Avoid Pellet Hormone Therapy
Hormone replacement therapy does have potential for risks and side effects which can vary from individual to individual, based on a patients medical history and lifestyle. You should always consult carefully with your doctor about the potential pros and cons for you. Some issues may be better or worse with pellet delivery than oral or cream delivery. Make sure your doctor knows if you:
- Think you may be pregnant
- Are experiencing vaginal bleeding
- Have/had certain types of cancer such as breast, uterine, or endometrial
- Had a stroke or heart attack
- Have/had blood clots
- Develop a local reaction to the implant, such as itching and redness
- See the pellets dislodging and coming out of the skin
If you have any of these risk factors, your doctor may want to consider a different solution for you.
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Biote Hormone Replacement Therapy In West Columbia Sc
When it comes to your hormonal health, you should turn to a team that can give you the personalized attention you need. At Comprehensive Family Medicine & Aesthetics, we offer ongoing support and care to help our patients overcome any health obstacle. To get in touch with Dr. Gordon and the rest of our team, please fill out the form below or call . We are available 24/7 and accommodate same-day appointments.
What Is Hormone Replacement Therapy
HRT is a type of hormone therapy that uses hormones that are structurally identical to the substances as they naturally occur in your body. It has been a favorite for both men and women going through the aging process and dealing with hormonal imbalance.
Other hormone therapy options include pills, patches, and creams, but dont offer an individualized approach for your unique needs and health concerns. BHRT is the natural alternative to synthetic hormone treatments that often dont provide relief.
We use BHRT through hormone pellet therapy. Hormone pellets have been around for decades but were pushed aside when pills and patches flooded the market.
However, many practitioners are turning back to hormone pellet therapy to offer their patients a more individualized approach to restoring balance and optimizing hormones.
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What Are The Side Effects
The possible side effects of testosterone replacement therapy include the following:
- increased red blood cell production
Testosterone pellets also come with specific health risks. These risks include:
- infection of the insertion site
- the pellets dislodging and coming out of the skin
- incorrect dosage
Taking testosterone supplements disrupts the bodys ability to make testosterone.
This means that when a person stops taking testosterone supplements, they may feel worse suddenly because their body has not adjusted to making testosterone on its own again yet.
Endometrial Protection Of The Womb
If you still have your uterus you will also be prescribed a progestogen/progesterone. This is to prevent the risk of developing endometrial hyperplasia which may lead to endometrial cancer. Without adequate progestogenic opposition the additional risk increased cancer risk is 5 cases per 1000 women after 5 years of use. The gold standard is Mirena levonorgestrel intrauterine device is used with implants for maximum protection but other options can be discussed with your clinician.
Risks And Benefits Of Estradiol Implants
Please speak to your clinician for individualised risks and benefits and ensure you are happy to continue this treatment. The risks and benefits of implants are the same as for any transdermal hormone replacement therapy .
Benefits include improved response when other treatments have failed and long-term bone protection. Risks include thromboembolic risk or stroke but comparable to other transdermal estradiols, when the serum estradiol remains within normal physiological range.
How Do Hormone Pellets Work
How do hormone pellets work? Bioidentical hormone pellets are the answer to the unwanted effects of shifting hormones. People of all genders and ages are subject to these radical and life-disrupting changes. Often, symptoms of hormone imbalances are covert and mimic other conditions. Pellets work by going to the source of your struggles without adding stress to your life. The experts at Huntington Lifestyle Partners in Pasadena, CA will identify the cause of your unwanted mental and bodily changes to have you feeling like yourself again.
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Expert Champions Study Results With Emphasis On Risks Of Pelleted Hormones
Nanette Santoro, MD, professor of obstetrics and gynecology at the University of Colorado School of Medicine says that this study helps us to understand the concerns about using non-FDA approved hormones. And, raises the need for women to discuss the risks as well as the potential benefits of pelleted bioidentical hormones BEFORE committing to their use.
The legal loophole through which these treatments have slipped, allowing them to be considered dietary supplements, means that no one has any reason to study their safety and efficacy before marketing them.
The FDA steps in only when there is evidence of harm, says Dr. Santoro something that has happened only three times in 25 years or if there someone complains that a company is making false claims. In other words, theres no real monitoring system. Most suppliers can say what they like, and Im sure they are experts on how to exactly phrase some of the more impressive claims that allude to anti-aging effects without incurring the wrath of the FDA or any other regulator.
There is no standardization in the manufacture of these products, Dr. Santoro tells EndocrineWeb, so if they are prescribed, a patient could have irregular absorption, or there could be more or less hormone than what is stated on the label, and no one is any the wiser.
Who Can Use Hormone Pellets
Bioidentical hormone replacement pelleting is suitable for anyone who suffers from a hormone deficiency or hormone imbalance.
Most people know that aging women endure substantial hormonal shifts, but few realize that men do, too. We serve patients of all genders, ages, and walks of life who are living with unsettling symptoms caused by inadequate hormone levels.
What Results Can I Expect
Ongoing BioTE® Hormone Replacement Therapy can result in a gradual improvement in your mood, energy levels, and improvement of your menopause symptoms. Additionally, this therapy has been shown to provide cardiovascular benefits in the form of lower levels of plaque buildup in the hearts arteries. Through consistent treatment, youll be more able to enjoy better sleep, sexual function, and overall quality of life.
How Long Does It Take For Hormone Pellets To Work
Although every patient experience is unique, most report symptom relief within 2-4 weeks, but full hormone optimization could take closer to 6 months.
Which is why regular follow-up and contact with your BHRT pellet provider is vital following the procedure this allows your provider the opportunity to monitor and customize hormone optimization based on your symptoms and blood work.
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What Are Testosterone Pellets
Testosterone pellets are a form of hormone replacement therapy. They are about the size of a grain of rice, and a doctor will implant them under the skin.
These pellets contain crystallized testosterone and deliver a steady, low dose of this hormone to the individual for up to 6 months at a time.
Although many people believe that testosterone replacement therapy can be beneficial, it can cause side effects and increase the risk of certain health conditions.
Understanding The Facts Of Hormone Pellet Therapy
Its important to note, though, hormone replacement therapy isnt right for every woman and may not provide these benefits for everyone. Working with your doctor to determine if this treatment is a good idea is essential.
Understanding the benefits and risks of this treatment can help you figure out if this treatment is right for you. If you are interested in learning more about hormone replacement therapy or figure out if you are a candidate, contact us. Our team can help you manage your health conditions and provide effective and safe treatments.
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Biote Hormone Replacement At Comprehensive Family Medicine
Both Dr. Gordon and the rest of our dedicated team approach patient care from a concierge medicine standpoint. Your body is unlike anyone elses, and therefore, your specific hormonal needs are also very different. By choosing us for your BioTE® Hormone Replacement, you are putting your trust in a practice that delivers individualized care each and every time. More than that, though, you are choosing a group of people who will take the time to get to know you and support you every step of the way.
Just Because It Seems More Natural Become Better Informed
Given these significant differences in experiences, Dr. Jiang has serious doubts that women who opt for bioidentical custom compounds are not adequately informed about the lack of clinical evidence regarding the safety and effectiveness of these products. Nor are they sufficiently made aware that this form of hormone delivery is not subjected to the same level of regulation that standard HRT is required to meet.
Pellet therapy and other compounded hormone products are regulated only be the rules governing vitamins and nutritional supplements, which means very little. They dont have to meet the same rigor as medications reviewed by the Food and Drug Administration , so theres no assurance that what is promised in the bottle is what youll get, or even that it will work as you expect. Rather, these hormonal products gain the attention of the FDA only after there is evidence of harm demonstrated in the people taking these unregulated products.
The study findings should raise red flags for any woman looking to have her doctor prescribe the compounded pelleted hormone therapy. And if you still decide to go this route, Dr. Jiang says: Women on pellet therapy need to be carefully monitored for their estrogen and testosterone levels.
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Professional Guidelines And Position Statements
European and American specialty societies recommend that replacement testosterone therapy be considered at serum total testosterone levels less than 300-350 ng/dL. The testing methods for testosterone vary, and the level of deficiency is not standard with providers.
The following principles should guide testosterone therapy:
The American College of Obstetricians and Gynecologists Committee on Gynecologic Practice and the Practice Committee of the American Society for Reproductive Medicine make the following conclusions and recommendations:
- Evidence is lacking to support superiority claims of compounded bioidentical hormones over conventional menopausal hormone therapy.
- Customized compounded hormones pose additional risks. These preparations have variable purity and potency and lack efficacy and safety data.
The American Urology Association
The AUA recommends that testosterone therapy is not indicated for the treatment of erectile dysfunction in patients with a normal serum testosterone level. Also, the role of testosterone therapy in men with sexual dysfunction with low, borderline normal, and normal testosterone levels is not well defined.
European Menopause and Andropause Society
The Endocrine Society
In 2018, the Endocrine Society updated its guidelines for testosterone therapy with the following conclusions:
Medical Community Pushes Back
Wierman, Santoro, and Buckley are all pushing back against the use of BRHT by encouraging the Endocrine Society to become more active and approaching their state medical board.
The medical community is engaging directly with the FDA, according to Stephanie Kutler, director of policy and advocacy programs at the Endocrine Society. At the behest of the Endocrine Society leadership, Society experts joined several other professional associations on a recent conference call with the FDA organized by the North American Menopause Society to present evidence to support our position that bioidentical hormones should be more closely regulated by the FDA and only prescribed when clinically necessary, Kutler says.
The Society welcomes a recent announcement that the FDA has commissioned a study by the National Academies of Science, Engineering, and Medicine to examine the scientific evidence relating to the clinical utility, safety, and effectiveness of BHRT products and plans to have some member experts engage with the study task force.
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Impact On Mood Weight And Sexual Function
Mood and hormones are linked. If you experience motivation issues, fatigue, mood changes, or depression, a hormone imbalance could be to blame. Likewise, hormone deficiencies also cause sudden, unexplained weight gain and sexual dysfunction.
Bioidentical hormone pellets get to the root of your symptoms to usher in relief from:
- Bone loss
References Related To Testosterone Estrogen And Pellet Implant Therapy
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Other Problems From Hormone Pellet Therapy
Whether using pellets or topical treatment, hormone replacement therapy with bioidentical hormones is a safe effective treatment for hormone imbalance symptoms. The pellets do add some increased risk of side effects as noted above. In addition to the side effect noted above, the most common problem I have seen with hormone pellet therapy is the very high levels of hormones that are maintained. This typically occurs from poor monitoring of the hormone levels. As a result we see women with testosterone levels that are as high as men and men that have testosterone levels that are well above the upper reference range.
Now this can happen from time to time with any method of hormone treatment. With pellet therapy it seems to be a more common occurrence rather than an exception. This may occur from infrequent lab testing or checking when the hormone levels would naturally be running out and hence lower. This lower lab test then justifies a higher milligram pellet dose. While a more frequent lab monitoring may resolve this, pellet therapy is rarely monitored this way. For some excessively high hormone levels can make you feel just as poorly as low. If you started hormone pellet therapy and you don’t feel any better or feel worse consider having the levels checked a month after pellet insertion.
Consultation And Evaluation For Hormone Pellet Therapy
Completion of the Female Hormone Pellet Therapy Consultation will involve full symptom discussion and evaluation, a pelvic ultrasound in our facility, and a panel of laboratories for baseline hormone levels plus other indicated labs. Hormone Pellets may be inserted during the second visit after a discussion of lab and ultrasound results.
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Use For Aging Changes In Males
Safety and efficacy of Testopel in genotypical men with “age-related hypogonadism” have not been established. The use of Testopel is considered investigational for genotypical male menopause, hypogonadism due to aging, erectile dysfunction, and for all other age-related conditions not listed above.
Other uses of implantable testosterone pellets are considered investigational including, but not limited to, their use in the treatment of sexual dysfunction in both men and women , post-menopausal symptoms, depression and for the enhancement of athletic performance.
Everything You Should Know About Pellet Implantation
by DonnaWhite | Feb 5, 2021
Are you looking to learn more about hormone replacement therapy via pellet implantation?
Bioidentical hormone replacement therapy is an effective way for both women and men to ease symptoms related to hormone imbalance.
Pellet implantation is a convenient choice of delivery method and may be the best choice for some BHRT patients.